Overview Adult day care (ADC) in Idaho is regulated for persons served by the Commission on Aging Senior Services Program under the Rules Governing Senior Services Programs. The Commission on Aging rules state that adult day care programs shall operate under guidelines established by the Idaho Commission on Aging that are in accordance with th
Overview The Hawaii Department of Health licenses adult day health centers (ADHC) under the state administrative rules for freestanding adult day health centers, and also under the state administrative rules for skilled nursing/intermediate care facilities (for nursing facility-based adult day health centers).
Overview The state's adult day services licensing standards, developed after the legislature approved licensing authority in 2003, are currently voluntary due to lack of funding for the licensing agency to administer the licensing process. However, the Division of Aging Services has standards that must be met by providers in the statewide agin
Overview The District of Columbia (DC) provides adult day care, also called geriatric day care, through District of Columbia Office on Aging grants issued under the District of Columbia State Plan on Aging to providers who are governed by geriatric day care requirements issued and administered by the Office on Aging. These requirements are cit
Overview The state has two models of adult day care (ADC): the social model and the medical model. The social model is designed for individuals who need supervision and activities but not extensive personal care and medical monitoring.
Overview In California, adult day care services are provided in two types of licensed facilities: adult day programs (ADP) and adult day health care (ADHC) centers. In addition, each local Area Agency on Aging designates at least one Alzheimer's day care resource center (ADCRC) in its planning and service area to provide specialized Alzheimer'
Overview The Arkansas Office of Long Term Care in the Department of Human Services licenses adult day care (ADC) and adult day health care (ADHC) under separate rules and regulations. Arkansas provides ADC and ADHC under the ElderChoices Medicaid waiver and requires providers to be licensed. Licensure and Certification Requirements
Overview The Department of Health Services licenses adult day health care facilities. The Arizona Administrative Code R9-10-501 to 514 serves as the basis for the licensing requirements. Tribal providers need approval from the tribal government or the Bureau of Indian Affairs to operate an adult day care/adult day health care facility. Med
Overview There are no licensure requirements in the State of Alaska for adult day services. There is no oversight for adult day service programs that serve only private pay clients.
Overview Alabama provides adult day care (ADC) as a function of Adult Protective Services, under the Department of Human Resources, under Adult Day Care Requirements from the Office of Social Service Contracts.
Regulatory Review of Adult Day Services: Final Report SECTION 2. STATE REGULATORY PROFILES
Virtually all states have both orientation and initial and ongoing training requirements, but they are minimal. Some requirements are quite general, while others are specific regarding the type of training and the number of hours required. Most states require at least one staff trained in first aid and CPR on duty at all times. Examples of the wid
States vary with regard to the number of staff required. Most states specify minimum staff-to-participant ratios. As shown in Exhibit 2 , mandatory ratios range between one to four and one to ten. Some states require different ratios for different types of ADS, and some states specify both a required ratio and a recommended ratio. Some states re
Regulatory Review of Adult Day Services: Final Report - Section 1. Definitions of Adult Day Services
States vary considerably in the terms they use for ADS. For example, Arizona and Pennsylvania license adult day health care facilities , Delaware and New Mexico license adult day care facilities , and Oklahoma licenses adult day care centers . West Virginia licenses medical adult day care centers as a special type of ambulatory h
Regulatory Review of Adult Day Services: Final Report - Section 1. Other Required Types of Provider Agreements
States that neither license nor certify generally require publicly funded ADS providers to enter into official, most often contractual, agreements with a state agency, specifying that they will comply with mandated requirements. These states do not have any requirements for providers who serve only private-pay clients. For example:
Ten states require certification in place of licensure. Of these, Alaska, Colorado, Ohio, Indiana, and Wisconsin require only Medicaid providers to be certified according to ADS certification standards; non-Medicaid providers do not have be certified. Adult day certification is voluntary for non-Medicaid providers in Wisconsin. The District of Col
States vary in their approach to licensure, primarily licensing providers of specific ADS programs or operators of specific types of facilities or centers. Some states license a single program; others cover two or more program types under a single licensing category; some have separate licenses for specific types of programs in addition to basic l